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HomeMy WebLinkAbout108 Country PlCITY OF SANFORD BUILDING & FIRE PREVENTION 2O16 PERMIT APPLICATION r. Application No: S Q Documented Construction Value: $ Ap S f y 1 OU Job Address: ld6 Historic District: Yes Noll Parcel ID: 23- 19 -.30 • SOC.- 00o O - 0000 Residential ® Commercial Type of Work: NewE AdditionD Alteca-toni Repa rE Demo Change of Use[] Move El Description of Work: If4gw-t A,- 6JV lJrt? A4, f Plan Review Contact Person: Title: /oo+wox- Phone: ib7. 3Z-3- 3Sf) Fax: 2- 321 -SS79 Email: L?,q,Oe ss3277(/-';207Ai,N4f Property Owner Information Name RA.e Fs Aoa /<:r -7i? P A ?;fR y Phone: Street: s//O -Ai /. %wQ Z?t`' Resident of property? City, State Zip: />-fg—/ eU '4 33S4G - 'ZZD Contractor Information Name 2094' is ' KKm l w Street: City, State Zip: Street: City, St, Zip: Bonding Company: Address: Phone: mo7- 37 .?-3-s"1 Fax: VO' 2- 32f -SS,74 State License No.: 444O.0 C2 I/- Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the public records ofthis county, and there maybe additional permits required from other governmental entities sttc'li as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The .actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued - OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature ofOwner/Agent Print Owner/Agent's Name Date Suture cn'Notary-State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of Signatur ctor//Agent Date W45 Print Contractor/Agent's Name JOANN M.JOHNSON MY COMMISSION # FF 956284 EXPIRES: March 23, 2020 Bonded ihru Notary Public Underwriters Contractor/Agent is personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building 0 Electrical0 Mechanical Plumbing0 Gas[] Roof[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: YesE] No n # of (leads APPROVALS: ZONING: ENGINEERING: COMMENTS:. UTILITIES: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes Q No Q WASTE WATER: BUILDING: Revised_.June-3fF 2015 Pernut AM:tication SCPA Parcel Mew. 33-19-30-506-0000- 0 littp://parceldetail .scpa#1 .orgfP arcelDetailh&.aspx'?P!D=33193i150600... Propetty Record Card CrA Parcel: 33-19-30-506-0000-0080 i P E : PARi<CAiARiES 1_JF28, MT+iR4'NW1_1F£ ESTRW #ATHR" l8 ATF) } Y. f.RGMitii OC%NfY. f'L.fYlAA i Property Address: 108 COUNTRY PL SANFORD, FL 32771-6502 Parcel Information Value Summary Parcell3319- 30-506-0000-0080 Owner PARKCHARLES L JR & KATHRYN W LIFE EST (PARK KATHRYN W ATE ProperlyAddress it l tTRY 1 SANFORD fi 32771-1SSffi Mailing 15110 ROLLING FAIRWAY DR VALRICO, FL 335965220 Subdivision Name 1 COUNTRY PLACE THE Tax District ; SISANFORD DOR Use Code, 01SINGLE FAMILY a Seminole County GIS 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market munberoiJ3ukgs 1 1 Depreciated Bldg Value 127,531 123,819 Depreciated EXFT Value 1,000 1,000 Land Value (Market) 34,000 28,000 Land Value Ag Just/Market Value " 162,531 152,819 Portability Adj Save Our -Homes Adj 39,177 30,322 Amendment 1 Adj P&G. Adj 0 0 Assessed Value 123, 354 122,497 Tax Amount without SOH: $2,289.00 2015 Tax Bill Amount $1,672.00 Tax Estonator Save Our Homes Savings: $617.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Legal Description COUNTRY PLACE THE PB 26 PG 30 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 123,354 50,000 73,354 Schools 123,354. 25,000 98,354 i City Sanford 123,354 50,000 73,354 i SJWM Saint Johns Water Management) ( 9 ) 123,35450,000 73,354 County Bonds 123, 3!A 50,OW 73,354 Sales F*d Comparable Sales Land Method Frontage _.. ..._.._._ _ Depth . _ _._--.. . Units _... Units Price ..__ _ _ ;Land Value - ---- 10 2UT 0 ii t1 .10D 1 of 2 9/ 9/2016 2:37 PM 2 of 2 9/9/2016 2:37 PM Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: imU16— I hereby name and appoint: an agent of: Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option): 0 The specific permit and application for work located at: 7 t uect /iuuCeS3) 40- The authorization for the above referenced shall expire on: % Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License H STATE OF FLORIDA COUNTY OF Son j120je The foregoing instrument was ,ai 200 jam, by to me or o who has produced _ identification and who did (did Notary Seal) KELLY GENE CA" MY COMMISSION 0 MUM EXPIRES June 10, 2019 Rev. 08.12) il lowledged before me thisdliy of al who is ersonally knownr1 ; A - Notary Public - State of Commission No. My Commission Expires:.., BARNES HEATING AND AIR CONDITIONING OF SEMINOLE INC. 915 W. 2nd Street Sanford, FL 32771 Proposal OFFICE (407) 323-3517 FAX (407) 321-5579 NAME Park, Charlie STREET 108 Country Place CITY Sanford ESTIMATE ST ZIP FL 32771 B 13-417-0438 JOB NAME JOB LOCATION Option 1 - Bryant legacy (3 ton) Heat pump models 214DNA036000/FB4CNP036L00 33000 BTU's Cool @ 14.0 SEER 33800 BTU's Heat @ 8.2 HSPF Option 2 - Ameristar (3 ton) Heat pump models M4HP036A1 /M4AH4036A1(T) 36000 BTU's Cool @ 14.0 SEER 34600 BTU's Heat @ 8.3 HSPF DATE 919/16 5695.00 L$5441.00 LICENSE CAC036824 All Units above come with a 10 YR Manufacturer parts warranty & 1 YR Barnes labor warranty to original homeowner. Price above also inciudes removal of old equipment, tie back into your existing ducts, new digital thermostat, new freon lines, pad, labor, permit and taxes. WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR --COMPLETE IN ACCORDANCE WITH ABOVE SPECS FOR THE SUM OF See above PAYMENT Per invoice upon completion: cash, check, visa or me All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contigent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.Please be aware of Florida homeowners construction recovery fund. Acceptance of Proposal Signature. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made Dateasoutlinedabove. - Authorized Signature Thomas Gochee Note: This proposal may be withdrawn by us if not accepted withigeSp days. 1 AHRI Certified Reference Number: 7947636 Date: 9/9/2016 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: M4HP4036A1 Indoor Unit Model Number: M4AH4036A1000AA+TXV Manufacturer: INGERSOLL RAND COMPANY Trade/Brand name: AMERISTAR Series name: Manufacturer responsible for the rating of this system combination is INGERSOLL RAND COMPANY Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -SourceHeatPumpEquipmentandsubjecttoverificationofratingaccuracybyAHRI-sponsored, independent, thirdpartytesting; heating L;apacity(btun) (g 17 F: 21.200 Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in thedirectoryatwww.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary, products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;, entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual AM personal and confidential reference: AIR-CONDMONIN0, HEATING, CERTIFICATE VERIFICATION d REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" linkandentertheAHRICertifiedReferenceNumberandthedateonwhichthecertificatewasissued, we make life better - which Is listed above, and the Certificate No., which is listed at bottom right. -- 2014 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131179193374159005